Neurologic complications after epidural analgesia

被引:9
作者
Poepping, Daniel M. [1 ]
Wenk, Manuel [1 ]
Van Aken, Hugo K. [1 ]
机构
[1] Univ Klinikum Munster, Klin Anasthesiol Operat Intens Med & Schmerzthera, Munster, Germany
来源
ANASTHESIOLOGIE INTENSIVMEDIZIN NOTFALLMEDIZIN SCHMERZTHERAPIE | 2012年 / 47卷 / 05期
关键词
REGIONAL ANESTHESIA; MAJOR COMPLICATIONS; HEMATOMA; PATIENT; SURGERY; RISKS;
D O I
10.1055/s-0032-1313572
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Epidural analgesia is regarded as gold standard after major abdominal or thoracic surgery in combination with general anaesthesia. Apart from well documented positive effects of epidural analgesia on the postoperative period, evidence for the incidence of neurologic complications is less clear. Complications include direct spinal cord damage during epidural puncture, epidural hematoma, abscesses or meningitis. The review article gives an overview about current data on neurologic complications related to epidural analgesia and shows feasibility of prevention and early detection. Furthermore a therapeutic approach in case of a neurologic incident will be demonstrated.
引用
收藏
页码:336 / 343
页数:8
相关论文
共 20 条
[1]   Efficacy of postoperative epidural analgesia - A meta-analysis [J].
Block, BM ;
Liu, SS ;
Rowlingson, AJ ;
Cowan, AR ;
Cowan, JA ;
Wu, CL .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 290 (18) :2455-2463
[2]   A review of neuraxial epidural morbidity - Experience of more than 8,000 cases at a single teaching hospital [J].
Cameron, Christie M. ;
Scott, David A. ;
McDonald, Wendy M. ;
Davies, Michael J. .
ANESTHESIOLOGY, 2007, 106 (05) :997-1002
[3]   Major complications of epidural analgesia after surgery: results of a six-year survey [J].
Christie, I. W. ;
McCabe, S. .
ANAESTHESIA, 2007, 62 (04) :335-341
[4]   Major complications of central neuraxial block: report on the Third National Audit Project of the Royal College of Anaesthetists [J].
Cook, T. M. ;
Counsell, D. ;
Wildsmith, J. A. W. .
BRITISH JOURNAL OF ANAESTHESIA, 2009, 102 (02) :179-190
[5]   Spinal epidural hematoma following epidural catheter removal in a paraplegic patient [J].
Eipe, Naveen ;
Restrepo-Garces, Carlos E. ;
Aviv, Richard I. ;
Awad, Imad T. .
JOURNAL OF CLINICAL ANESTHESIA, 2009, 21 (07) :525-528
[6]   Risks and benefits of thoracic epidural anaesthesia [J].
Freise, H. ;
Van Aken, H. K. .
BRITISH JOURNAL OF ANAESTHESIA, 2011, 107 (06) :859-868
[7]  
Gogarten W, 2009, ANASTH INTENSIVMED, V50, P316
[8]   Regional anaesthesia and antithrombotic agents: recommendations of the European Society of Anaesthesiology [J].
Gogarten, Wiebke ;
Vandermeulen, Erik ;
Van Aken, Hugo ;
Kozek, Sibylle ;
Llau, Juan V. ;
Samama, Charles M. .
EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2010, 27 (12) :999-1015
[9]   Spontaneous spinal epidural hematoma: Findings at MR imaging and clinical correlation [J].
Holtas, S ;
Heiling, M ;
Lonntoft, M .
RADIOLOGY, 1996, 199 (02) :409-413
[10]   Regional Anesthesia in the anticoagulated patient: Defining the risks (the Second ASRA Consensus Conference on Neuraxial Anesthesia and Anticoagulation) [J].
Horlocker, TT ;
Wedel, DJ ;
Benzon, H ;
Brown, DL ;
Enneking, FK ;
Heit, JA ;
Mulroy, MF ;
Rosenquist, RW ;
Rowlingson, J ;
Tryba, M ;
Yuan, CS .
REGIONAL ANESTHESIA AND PAIN MEDICINE, 2003, 28 (03) :172-197